Beckham, Xavier

Beckham, Xavier is an individual health care provider with primary practice located at 1739 S Jade Way Ste 110 , Meridian ID 83642-4464. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Beckham, Xavier can be contacted via phone (208) 207-5454.

Contact Information

Primary practice address
1739 S Jade Way Ste 110 Meridian ID 83642-4464
Phone: (208) 207-5454
Fax: (208) 600-6064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-5866 Idaho

Profile Details

NPI number 1598961567
LBN Legal business name Beckham, Xavier
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Mar 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598961567 NPPES
Texas Other 3103878 LICENSE#

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